Individual
AGASI OHANYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 SANDHILL DR, ROCKLIN, CA 95765-5801
(916) 770-6463
Mailing address
1412 SANDHILL DR, ROCKLIN, CA 95765-5801
(916) 770-6463
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
8BKM522
CA
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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